The American Indian and Alaska Native Head Start Family and Child Experiences Survey 2019 (AIAN FACES 2019) is a study describing the children, families, and programs in Region XI Head Start. In 2019, there were about 145 Region XI Head Start programs across the United States serving about 20,000 children, and most of those children were AIAN. Region XI Head Start programs incorporate their unique history, community traditions, and beliefs into their operations and integrate language and culture into the delivery of services to children and families. 77% of children’s programs had a cultural/language elder or specialist – someone with whom programs consult about their community’s culture or language. (author abstract)